Extended Stay Suite Rental Application

Applicant Full Name

First NameLast Name

Email Address

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Current Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Preferred Move-In Date

Date

Intended Length of Stay (in months)

Number of Occupants

Employment Status

Monthly Income (USD)

Current Employer (if applicable)

Reference Name and Contact Information

Have you ever been evicted from a rental property?

Do you have any pets?

Please list any additional information or special requests (optional)

Applicant Signature